| NPI | 1659821395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471M1202X Radiologic Technologist Magnetic Resonance Imaging (Licence: CA RHT 61986) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: CA RHT 61986) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-06 |